Yu.A. BELIY¹, A.V. TERESHCHENKO¹, D.O. SHKVORCHENKO², E.V. EROKHINA¹, N.M. SHILOV¹

¹Kaluga branch of «Inter-sectoral Scientific-Technical Complex «Eye microsurgery» named after Academician S.N. Fedorov», 5 Svyatoslav Fyodorov St., Kaluga, Russian Federation, 248007

²«Inter-sectoral Scientific-Technical Complex «Eye microsurgery» named after Academician S.N. Fedorov» of the MH of RF, 59a Beskudnikovskiy per., Moscow, Russian Federation, 127486

Beliy Yu.A. — D. Med. Sc.,, Professor, Deputy Director for Science, tel. (4842) 50-57-67, e-mail: nauka@mntk.kaluga.ru

Tereshchenko A.V. — D. Med. Sc.,, Director, tel. (4842) 50-57-67, e-mail: nauka@mntk.kaluga.ru

Shkvorchenko D.O. — Cand. Med. Sc., Deputy Chief Physician for Medical Work, tel. (4842) 50-57-67, e-mail: nauka@mntk.kaluga.ru

Erokhina E.V. — ophthalmologist, tel. (4842) 50-57-67, e-mail: nauka@mntk.kaluga.ru

Shilov N.M. — ophthalmologist, tel. (4842) 50-57-67, e-mail: nauka@mntk.kaluga.ru

Surgical operation was performed for 19 patients, aged 56 to 71, with idiopathic macular ruptures (MR) of stage III by J. Gass classification. The specific feature of the operation was the technique of forming the internal limiting membrane (ILM), which was performed in several stages, including the stepped separation of local ILM sectors around MR. It preserves the foveolar fragment and one ILM fragment, which is then separated towards MR, stopping at 0.1-0.2 mm from the MR edge. Then it is inverted and placed on the MR, closing it. Surgical interventions have been made completely without complications in all cases. During the observation period, all patients demonstrated the gradual improving of eyesight from 0.1-0.4 to 0.3-0.7 (on average 0.39±0.15). In all cases the anatomic condition of retina in foveolar sector was improved.

Key words: idiopathic macular rupture, surgical treatment, internal limiting membrane.

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